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Enjoyment mediates effects of a school-based physical-activity intervention
Dishman RK, Motl RW, Saunders R, Felton G, Ward DS, Dowda M, Pate RR
Medicine and Science in Sports and Exercise 2005 Mar;37(3):478-487
clinical trial
2/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: No; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: No; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: No. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

PURPOSE: The study evaluated whether targeted changes in factors influencing enjoyment of physical education (PE), physical activity enjoyment, and self-efficacy beliefs about participating in physical activity mediated the effect of the Lifestyle Education for Activity Program (LEAP) intervention on participation in physical activity. METHODS: High schools (N = 24) paired on enrollment size, racial composition, urban or rural location, and class structure were randomized into control (N = 12) or experimental (N = 12) groups. Of the 4,044 girls enrolled and eligible, 2,087 (51.6%) participated in the measurement component of the study. There were 1,038 girls in the control group and 1,049 girls in the experimental group. INTERVENTION: LEAP was a comprehensive school-based intervention emphasizing changes in instruction and school environment designed to increase physical activity among black and white adolescent girls. It was organized according to the Coordinated School Health Program and included a PE component with core objectives of promoting enjoyment of PE, physical activity enjoyment, and self-efficacy. RESULTS: Latent variable structural equation modeling indicated that: (1) the intervention had direct, positive effects on physical activity and factors influencing enjoyment of PE, which subsequently explained the effects of increased physical activity enjoyment and self-efficacy on increased physical activity; and (2) an additional, indirect effect of physical activity enjoyment on physical activity operated by an influence on self-efficacy. CONCLUSIONS: Increases in enjoyment partially mediated the positive effect of the LEAP intervention. To our knowledge, we have provided the first experimental evidence from a randomized controlled trial linking increased enjoyment with increased physical activity among black and white adolescent girls.

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